Doctor profile · Federal record
Dr. Todd Nelson, M.D.
Family Medicine Physician (CMS: Family Practice) · Burlington, WI
- NPI 1457562126
- Accepts Medicare
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
248 McHenry St
Burlington, WI 531051828
(262) 767-8000 - Additional location
-
240 Maple Ave, ProHealth Care Medical Associates INC.
Mukwonago, WI 531498475
(262) 928-1900 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- September 24, 2024
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Wisconsin #56176
- Medicaid
- WI #100031467
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457562126. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,770
Distinct HCPCS
10
Medicare allowed
$122,935
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93793 |
Anticoagulant management of patient taking warfarin | 1,485 | 132 | $11 | |
85610 |
Blood test, clotting time | 1,224 | 117 | $4 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 277 | 223 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 224 | 158 | $122 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 213 | 213 | $123 | |
83036 |
Hemoglobin a1c level | 97 | 76 | $10 | |
G0008 |
Administration of influenza virus vaccine | 60 | 59 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 59 | 58 | $72 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 52 | 42 | $169 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 21 | 20 | $196 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 156. This provider delivers 24× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
4,334
Patients
1,207
Total drug cost
$65,313
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Warfarin Sodium | Generic | 775 | 215 | $16,032 |
| Atorvastatin Calcium | Generic | 529 | 144 | $5,643 |
| Rosuvastatin Calcium | Generic | 411 | 121 | $7,566 |
| Levothyroxine Sodium | Generic | 301 | 75 | $4,152 |
| Lisinopril | Generic | 292 | 80 | $2,116 |
| Losartan Potassium | Generic | 275 | 80 | $3,550 |
| Omeprazole | Generic | 275 | 72 | $3,585 |
| Amlodipine Besylate | Generic | 262 | 77 | $1,545 |
| Hydrochlorothiazide | Generic | 245 | 67 | $1,012 |
| Pantoprazole Sodium | Generic | 204 | 55 | $3,721 |
Hospital affiliations
Frequently asked questions
What is Dr. Todd Nelson's medical specialty?
Dr. Todd Nelson practices Family Medicine Physician in Burlington, WI.
Where does Dr. Todd Nelson practice?
Dr. Todd Nelson practices at 248 McHenry St, Burlington, WI 531051828. Office phone: 2627678000.
What is Dr. Todd Nelson's NPI?
Dr. Todd Nelson's National Provider Identifier (NPI) is 1457562126, issued by NPPES.
Does Dr. Todd Nelson accept Medicare assignment?
Yes. Dr. Todd Nelson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Todd Nelson commonly perform?
Top Medicare-reported procedures in 2023: Anticoagulant management of patient taking warfarin (HCPCS 93793); Blood test, clotting time (HCPCS 85610); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.